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Your personal information is for our office only and will be used solely to contact you. Please note that any information sent via this form is not secure and encrypted.  Please call our office if you have any concerns or to request access to our secure and encrypted patient portal for future communication with our office.


We have expanded our practice to include telehealth visits to ensure our patients continue to have their healthcare needs met during the COVID-19 pandemic. Telehealth visits allow for real-time, 2-way audiovisual communication between the doctor and patient, similar to FaceTime or Skype but on a secure encrypted, HIPAA compliant online platform. We are using an online telehealth site called for these virtual visits. Telehealth visits will be available Monday – Friday during regular business hours. Please call our office at 816-561-3003 to schedule your telehealth visit.

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Patient Forms?

We ask each new patient please download, print and complete our New Patient Forms before their visit with us. If you have questions or need help completing these forms please call our office.